Health risk to medical personnel of surgical smoke produced during laparoscopic surgery
Auteur Miłosz Dobrogowski
Auteur Wiktor Wesolowski
Auteur Małgorzata Kucharska
Auteur Katarzyna Paduszyńska
Auteur Agnieszka Dworzyńska
Auteur Wiesław Szymczak
Auteur Andrzej Sapota
Auteur Lech Pomorski
Volume 28
Numéro 5
Pages 831-840
Publication International Journal of Occupational Medicine and Environmental Health
ISSN 1896-494X
Date 2015
Résumé OBJECTIVES: During laparoscopic cholecystectomy, the removal of the gall bladder, pyrolysis occurs in the peritoneal cavity. Chemical substances which are formed during this process escape into the operating room through trocars in the form of surgical smoke. The aim of this study was to identify and quantitatively measure a number of selected chemical substances found in surgical smoke and to assess the risk they carry to medical personnel. MATERIAL AND METHODS: The study was performed at the Maria Skłodowska-Curie Memorial Provincial Specialist Hospital in Zgierz between 2011 and 2013. Air samples were collected in the operating room during laparoscopic cholecystectomy. RESULTS: A complete qualitative and quantitative analysis of the air samples showed a number of chemical substances present, such as aldehydes, benzene, toluene, ethylbenzene, xylene, ozone, dioxins and others. CONCLUSIONS: The concentrations of these substances were much lower than the hygienic standards allowed by the European Union Maximum Acceptable Concentration (MAC). The calculated risk of developing cancer as a result of exposure to surgical smoke during laparoscopic cholecystectomy is negligible. Yet it should be kept in mind that repeated exposure to a cocktail of these substances increases the possibility of developing adverse effects. Many of these compounds are toxic, and may possibly be carcinogenic, mutagenic or genotoxic. Therefore, it is necessary to remove surgical smoke from the operating room in order to protect medical personnel.
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doi:10.13075/ijomeh.1896.00374
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